Press Information Bureau Government of IndiaMinistry of Health and Family Welfare24-July-2015 14:19 IST

Achievements Under Millennium Development Goals

Under
the Millennium Development Goals (MDGs), the MDG 5 target is to reduce maternal
mortality ratio (MMR) by three quarters between 1990 and 2015. This translates
to reducing the MMR from 560 in 1990 to 140 in 2015. India is likely to reach
an MMR of 140 if the current compound rate of annual
decline continues.

MDG 4 target is
for reduction of child mortality by two-third between 1990 and 2015. In terms
of Infant Mortality Rate (IMR), this translates into IMR of 29/1000 live births
to be achieved by 2015. As per the latest, Sample Registration System (SRS)
Report published by the Registrar General of India(RGI) in 2013, the IMR in
India is 40/1000 live births. As per SRS 2013, 15 States/UTs have already
achieved MDG 4 (IMR ≤ 29) namely Kerala, Tamil Nadu, Goa, Andaman &
Nicobar Islands, Chandigarh, Daman & Diu, Delhi, Lakshadweep, Puducherry,
Manipur, Maharashtra, Nagaland, Tripura, Sikkim, Punjab.

No targets have
been set under MDG for Total Fertility Rate (TFR). The progress however for TFR
as per SRS in 2011 and 2012 was 2.4 and has declined to 2.3 in 2013. 24 States
and UTs having already achieved the replacement level of fertility of 2.1.

The
achievementduring the last 3 years for MMR, IMR and TFR state/UTs-wise
is given below:-

Maternal Mortality Ratio: India and
State wise

(Source: RGI (SRS) 2007-09, 2010-12,
2011-13)

Major State

MMR(SRS)

(2007-09)

MMR(SRS)

(2010-12)

MMR(SRS)

(2011-13)

India
Total *

212

178

167

Assam

390

328

300

Bihar

261

219

208

Jharkhand

261

219

208

Madhya
Pradesh

269

230

221

Chhattisgarh

269

230

221

Orissa

258

235

222

Rajasthan

318

255

244

Uttar
Pradesh

359

292

285

Uttaranchal

359

292

285

Andhra
Pradesh

134

110

92

Karnataka

178

144

133

Kerala

81

66

61

Tamil
Nadu

97

90

79

Gujarat

148

122

112

Haryana

153

146

127

Maharashtra

104

87

68

Punjab

172

155

141

West
Bengal

145

117

113

*Others

160

136

126

*: Includes
Others

Infant Mortality
Rate, State and UT wise as per the SRS Reports 2010-2013

State/UTs

2010

2011

2012

2013

India

47

44

42

40

Bihar

48

44

43

42

Chhattisgarh

51

48

47

46

Himachal Pradesh

40

38

36

35

Jammu & Kashmir

43

41

39

37

Jharkhand

42

39

38

37

Madhya Pradesh

62

59

56

54

Odisha

61

57

53

51

Rajasthan

55

52

49

47

Uttar Pradesh

61

57

53

50

Uttarakhand

38

36

34

32

Arunachal Pradesh

31

32

33

32

Assam

58

55

55

54

Manipur

14

11

10

10

Meghalaya

55

52

49

47

Mizoram

37

34

35

35

Nagaland

23

21

18

18

Sikkim

30

26

24

22

Tripura

27

29

28

26

Andhra Pradesh

46

43

41

39

Goa

10

11

10

9

Gujarat

44

41

38

36

Haryana

48

44

42

41

Karnataka

38

35

32

31

Kerala

13

12

12

12

Maharashtra

28

25

25

24

Punjab

34

30

28

26

Tamil Nadu

24

22

21

21

West Bengal

31

32

32

31

A and N Islands

25

23

24

24

Chandigarh

22

20

20

21

Dadra and Nagar Haveli

38

35

33

31

Daman and Diu

23

22

22

20

Delhi

30

28

25

24

Lakshadweep

25

24

24

24

Pondicherry

22

19

17

17

State wise Total Fertility Rate as per
Sample Registration System

India
& Bigger States

TFR

2011

2012

2013

India

2.4

2.4

2.3

Andhra
Pradesh

1.8

1.8

1.8

Assam

2.4

2.4

2.3

Bihar

3.6

3.5

3.4

Chhattisgarh

2.7

2.7

2.6

Delhi

1.8

1.8

1.7

Gujarat

2.4

2.3

2.3

Haryana

2.3

2.3

2.2

Himachal
Pradesh

1.8

1.7

1.7

Jammu
and Kashmir

1.9

1.9

1.9

Jharkhand

2.9

2.8

2.7

Karnataka

1.9

1.9

1.9

Kerala

1.8

1.8

1.8

Madhya
Pradesh

3.1

2.9

2.9

Maharashtra

1.8

1.8

1.8

Odisha

2.2

2.1

2.1

Punjab

1.8

1.7

1.7

Rajasthan

3.0

2.9

2.8

Tamil
Nadu

1.7

1.7

1.7

Uttar
Pradesh

3.4

3.3

3.1

West
Bengal

1.7

1.7

1.6

The
key steps taken to accelerate the pace of reduction for Maternal Mortality
Ratio (MMR), Infant Mortality Rate (IMR) and Total Fertility Rate(TFR) under
the National Health Mission (NHM) for achieving MDG goals are:

·Janani
Shishu Suraksha Karyakaram (JSSK) entitles all pregnant women delivering in
public health institutions to absolutely free and no expense delivery,
including caesarean section. Similar entitlements have been put in place for
all sick infants accessing public health institutions for treatment.

·Mother and Child
Protection Card in collaboration with the Ministry of Women and Child
Development to monitor service delivery for mothers and children.

·Mother and Child
Tracking System is being implemented to ensure antenatal, intranatal and
postnatal care along-with immunization services.

·Identifying
the severely anaemic cases of pregnant women at sub centres and PHCs for their
timely management

·Operationalization
of Safe Abortion Services and Reproductive Tract Infections and Sexually
Transmitted Infections (RTI/STI) at health facilities with a focus on “Delivery
Points”.

·Maternal
Death Review (MDR) is being implemented across the country both at facilities
and in the community. The purpose is to take corrective action at appropriate
levels and improve the quality of obstetric care.

·Establishing
Maternal and Child Health (MCH) Wingsat high caseload facilities to
improve the quality of care provided to mothers and children.

·Under
National Iron plus Initiative (NIPI), through life cycle approach, age and dose
specific IFA supplementation programme is being implemented.

·To
tackle the problem of anaemia due to malaria particularly in pregnant women and
children, Long Lasting Insecticide Nets (LLINs) and Insecticide Treated Bed Nets
(ITBNs) are being distributed in endemic areas.

·Setting
up of Skill Labs with earmarked skill stations for different training programs
to enhance the quality of training in the states.

·A
new initiative of “Prevention of Post Partum Hemorrhage (PPH) through Community
based advance distribution of Misoprostol” by ASHAs/ANMs for high home delivery
districts.

·Emphasis
on facility based newborn care i.e. Special New Born Care Units (SNCUs),
Newborn Stabilization Units (NBSUs) and Newborn Care Corners (NBCCs) at
different levels to reduce child morbidity and mortality:

·Launch
of India Newborn Action Plan (INAP) with an aim to reduce neonatal mortality
and stillbirths to single digit by 2030.

·Mission
Indradhanush has been launched in 201 high focus districts to fully immunise
more than 89 lakh children who are either unvaccinated or partially vaccinated;
those that have not been covered during the rounds of routine immunisation for
various reasons.

·Rashtriya
Bal Swasthya Karyakram (RBSK) for health screening and early intervention
services has been launched to provide comprehensive care to all the children in
the age group of 0-18 years in the community.

·Expansion
of Family Planning Choices through introduction of new device- Cu IUCD 375
(effective for five years) introduced in program in 2012-13 and introduction of
new method Post partum IUCD in 2010-11 has provided post partum women an
effective spacing option

·Influencing
the demand through ASHA Schemes for Family Planning through Scheme of Home
Delivery of Contraceptives by ASHAs, Scheme of Ensuring Spacing at Birth and
Pregnancy Testing Kits (PTK) scheme